EAQ #14, Exam 3

Which first-generation histamine1 (H1) antagonist is less likely than diphenhydramine to induce sleep?

The health care provider indicates that the patient will be ordered an opioid antitussive. Which medication does the nurse anticipate the provider will order?

Which medication can cause paradoxical reactions in children?

Which clinical finding is seen in a patient with nasal congestion caused by allergic rhinitis?

The health care provider indicates that the patient will be prescribed an expectorant. Which medication does the nurse anticipate the provider will prescribe?

Which symptom of allergic rhinitis is treated with fluticasone?

A patient is prescribed diphenhydramine for the treatment of an allergic disorder. After reviewing the patient's history, the nurse finds that the patient drinks alcohol. Why should the nurse instruct the patient to stop alcohol consumption?

Which antihistamine causes sedation an adverse drug effect?

A patient is prescribed disulfiram for alcohol abuse. During the assessment, the nurse finds that the patient is also taking echinacea for wound healing. What should the nurse instruct the patient to do?

Which drug will the primary health care provider prescribe for a patient who has nighttime insomnia and motion sickness?

The use of fexofenadine is contraindicated in patients with which conditions?

Which side effect would the nurse watch for in a patient with motion sickness, who has been prescribed diphenhydramine?

The nurse observes a mild cough in a patient after hernia repair. Which medication should the nurse expect the provider to prescribe for this patient?

Which patients are the best candidates to receive antitussive cough medication?

The primary health care provider prescribes oxymetazoline to a patient with sinusitis who complains of nasal congestion and difficulty in breathing. About which possible adverse effect should the nurse teach to the patient?

Which information would the nurse give a patient who mentions being afraid to take antihistamines because of being a truck driver?

Which instruction would the nurse provide a patient who reports feeling drowsy after beginning drug therapy with diphenhydramine?

Which response is appropriate when a patient complains of worsening nasal congestion despite the use of oxymetazoline nasal spray every 2 hours?

Which side effect of a histamine (H1) antagonist is used therapeutically for patients with allergic rhinitis?

Which condition is an adverse effects of echinacea? Select all that apply.

A patient who reports nasal congestion is prescribed naphazoline, 2 drops in each nostril, every 6 hours, for 5 days. The patient reports increased nasal congestion after 10 days. On assessment the nurse learns that the patient had increased the drug frequency to every 3 hours for 10 days. What should the nurse interpret from this information?

Which instruction would the nurse give to a patient who is prescribed dextromethorphan for treatment of cough. What instruction should the nurse give to the patient for safe administration of the drug?

During the assessment of a patient, the nurse finds symptoms of dizziness, confusion, sedation, and hypotension. After reviewing the patient's medical history, the nurse finds that the patient is taking diphenhydramine for treatment of nighttime insomnia. What should the nurse interpret from the assessment?

A patient complains that symptoms of allergic rhinitis are persistent even after taking fexofenadine. After checking the patient's history, the nurse finds that the patient is taking phenytoin for the treatment of seizures. What should the nurse interpret from this information?

The nurse observes that a patient who is taking phenylephrine and vitamin C tablets has developed rebound congestion. What is the probable reason for rebound congestion?

Which type of drug should the nurse expect to prescribe for a patient in the emergency department with urticaria after contact with shrubs?

For which possible reason would an older adult who presents with a cough be instructed not to use diphenhydramine?

Which treatment is best to manage a cough associated with allergic rhinitis for the patient who takes several other medications?

If a pt is experiencing an allergic rxn to a medication, which change noted during this rxn would be inhibited by the administration of antihistamines? Select all

If a pt asks about using echinacea to treat cold sxs which cue in pt's health hx would make the use of this drug a contraindication?

Which info would the nurse provide as to the adverse effects when teaching a pt about the use of diphenhydramine in tx of seasonal allergies? Select all

Based on the med administration record for a pt who reports using goldenseal to treat allergies, which action would the nurse perform due to possible drug interaction?

MAR Atenolol 25 mg PO daily Atorvastatin 10 mg PO every night Venlafaxine ER 75 mg PO daily Goldenseal 500 mg PO TID Finasteride 5 mg PO daily

Which info is important for the nurse to provide a pt prescribed an otc nasal spray with oxymetazoline to relieve nasal congestion due to cold?

After reviewing the health record of 4 pts who present with cold sxs which pt would it be contraindicated to give oxymetolazine?

Pt with bronchitis asks about meds to suppress dry cough that is keeping pt up at night. After reviewing health record which med would be safe to administer?

MAR Lisinopril 10 mg PO daily Selegiline 1.25 mg PO every AM

Past medical Hx HTN Bipolar disorder Renal insufficiency

Which frequency would the nurse instruct a pt to take Robitussin with dextromethorphan 30 mg PO to suppress a cough due to influenza?

After reviewing health record of pt with pneumonia who asks for a codeine-containing cough suppressant to alleviate to cough, which medical diagnosis would make the administration of codeine contraindicated? Select all

Past medical hx: HTN, DM, seizure disorder, seasonal allergies, depression

Which med would the nurse instruct a pt scheduled to undergo allergy testing to hold a least 4 days prior to test?

Which info would the nurse provide to pt taking otc guaifenesin who informs the nurse that the drug does not last very long?

The nurse is planning care for pt receiving decongestants. Which parameter would nurse assess prior to giving dose of medication? Select all

A patient is prescribed guaifenesin for treatment of productive cough. What instruction should the nurse give to the patient for maximum therapeutic effect?

The nurse is providing care for multiple patients who are prescribed nasal decongestants. For which patients does the nurse need to obtain a change of prescription? Select all that apply.

Which antitussive would be administer to a patient with peripheral arterial disease (PAD)?

A patient who presents with cough and difficulty breathing is prescribed decongestants and antitussives. Which assessment findings in the follow-up visit will the nurse immediately report to the primary health care provider? Select all that apply.

An older adult with pneumonia is experiencing a cough that is disrupting rest and sleep. Which type of medication would the nurse expect to administer to this pt to promote sleep and rest? Select all

A pt who underwent coronary artery bypass surgery 2 mos ago has an acute upper respiratory infection and is losing sleep because of a cough. Which instruction would the nurse give to manage the URI if the pt is using codeine as an antitussive? Select all

Which instruction would the nurse include for a pt who will be using an expectorant?

Which instruction would the nurse include for a pt prescribed an antitussive med?

A pt who has allergic rhinitis comes to the clinic for a scheduled allergy test. After performing a health hx the nurse informs the pt that the allergy test will have to be rescheduled. Which statement explains the reason for this?

The nurse makes a home visit to middle-aged pt who has hx of asthma. Pt's spouse purchased otc antihistamine. Nurse instructs spouse not to administer drug to pt. Which complication is the nurse trying to prevent?